Lexology November 27, 2024
On November 26, 2024, the US Centers for Medicare & Medicaid Services (CMS) released the Contract Year (CY) 2026 Policy and Technical Changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE) proposed rule (fact sheet; proposed rule). This is part of an annual rulemaking process that includes both substantive and technical changes to the MA, Part D, and PACE programs.
This year, the rule proposes new policies related to the coverage of anti-obesity medications in Part D and Medicaid, medical loss ratio and utilization management requirements, use of artificial intelligence (AI) tools, and more. Comments are due by January 27, 2025.
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